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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PER'JIIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� Z I� �� i G I�( L►9 rl l; �. ��/ � <br />PROJECT ADDRESS <br />s I[: 1fC; NG! NvL Z ziY /-/�b�(crl�v0 s% <br />Owner Mail Address City <br />Tenant <br />Mail Address <br />City <br />�✓���7 9 8' y �i <br />SWtelZip Phone <br />State/Zip q p,Q LO Phone <br />� �� �2 �iV / G' C.. G'G %� / (_ %$�% S�'.� l� C' � S � � D/ �o ^�/�S _ <br />Eleclrical Contracter Mail Address Ciry State/Zip Phone <br />1+vR,e�-L /a S�Js'/�r <br />State License Number <br />�• �,��G� <br />Proposed Use of Building <br />Contract Price of W ork <br />�A��� f-I�lrN�S <br />Contacl Person (Plan Re�iew) <br />�z� zig -6a�o <br />Description o( Work lo De Done: U%�� G' �`!� N��'V ��2H �Lf — <br />zOU r9�'� <br />� E�r'� �'"X /� 7��v <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO <br />BE IN RF,i;EWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAI. SALES TAX CODE IS 3705 <br />�C ic. ✓.c. �,r <br />/� vs �� pfr /l�f�� s�e ✓`� c-c� <br />1 hereby ceriily thnt 1 have read anA examineA fhis applicafion and know the same fo be frue and <br />correct. All prav�s�ons olla�vs and oidinances goveming this fype o/ work will be completed <br />whether specified i�erein or noL The granfing oI a pernut does not presume to give aufhonty lo <br />violafe or cancel fh,� provisions o( any ofher stafe or local law regulating consfruchon or the <br />peiformance ol const�ucfion. Thaf 1 am authonzed 6y fhe owner o/ this properiv to peAomi fhe <br />wo�k lor whicli applicafion is rnade and I compty wifh the Sfate Confractors La�,� 18.27 RCW and <br />/n, 6-Fi2 F7E r <br />FEE <br />,� u�c°t �I L6 <br />